Individual provider Active NPI

Rachana Patel, FNP-BC

  • Nurse Practitioner
  • Palatine, IL
National Provider Identifier
1801359039
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.017890 Issued in IL
Practice address
1200 W Algonquin Rd BLDG M
Palatine, IL 60067-7373
Phone
(847) 618-0121
Fax
(847) 618-0134
NPI assigned
Apr 14, 2019
Last updated
Oct 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.017890 IL Primary

Addresses

Primary practice location

1200 W Algonquin Rd BLDG M
Palatine, IL 60067-7373

Mailing address

1200 W Algonquin Rd BLDG M
Palatine, IL 60067-7373
Phone (847) 618-0121

Other identifiers 1

IdentifierTypeStateIssuer
209.017890OtherILSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rpatel152407@direct.nch.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190805002710 IL Practitioner - Nurse Practitioner 9436486032 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians

Practice addresses (Care Compare)

8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.017890ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Health Physicians CurrentSince Feb 10, 2025 Accepting new patients
Northwest Community Health Services Inc Nurse Practitioner CurrentSince Aug 29, 2022 Accepting new patients
Northwest Community Health Services Inc CurrentSince Aug 29, 2022 Accepting new patients
Palos Internists SC CurrentSince Jun 26, 2019 Accepting new patients

Locations

3040 W Salt Creek Ln
Arlington Heights, IL 60005
Phone (847) 618-3481

1051 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 221-4601

1450 Busch Pkwy
Buffalo Grove, IL 60089
Phone (847) 459-7860

25233 Network Pl
Chicago, IL 60673

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

4647 W 103rd St
Oak Lawn, IL 60453
Phone (708) 424-6540

4647 W 103rd St
Ste 2L
Oak Lawn, IL 60453
Phone (708) 952-0200

1200 W Algonquin Rd
Bldg M
Palatine, IL 60067
Phone (847) 618-0121

2300 N Rockton Ave
Rockford, IL 61103

6998 Redansa Dr
Rockford, IL 61108
Phone (815) 971-3110

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJCDBA
  • Direct secure messaging: rpatel120140@direct.mhemail.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1801359039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W ALGONQUIN RD BLDG M",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600677373",
            "telephone_number": "847-618-0121",
            "fax_number": "847-618-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W ALGONQUIN RD BLDG M",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600677373",
            "telephone_number": "847-618-0121",
            "fax_number": "847-618-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RACHANA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-14",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.017890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "209.017890",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpatel152407@direct.nch.org",
            "affiliation": "N",
            "address_1": "1200 W Algonquin Rd Bldg M",
            "city": "Palatine",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600677373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

Verify at the official NPI Registry.